BILLY R NORDYKE JR DO PC (NPI# 1235619065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235619065 |
| Entity Type | Organization |
| Organization Name | BILLY R NORDYKE JR DO PC |
| Other Organization Name | NORDYKE FAMILY MEDICINE |
| Practice Address |
2201 Ford Ave Wyandotte MI 48192-2314 |
| Practice Telephone | 7342588835 |
| Practice Fax Number | 7342588885 |
| Mailing Telephone | 7342588835 |
| Mailing Fax Number | 7342588885 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2019-05-31 |
| Authorized Official Name | DR. BILLY RALPH NORDYKE (DO/CEO) |
| Authorized Official Telephone | 7347588835 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101018163 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Nordyke Family Medicine | Doing Business As Name - Organization |
| Street Address |
2201 FORD AVE |
| City | WYANDOTTE |
| State | MI |
| Zip Code | 48192-2314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700817558 | Billy Ralph Nordyke Jr. | Family Medicine | 2201 Ford Ave, Wyandotte, MI 48192-2314 | 2006-07-06 |
| 1770123408 | Fauzi Ateeq Alhumaidi | Pharmacist | 2201 Ford Ave, Wyandotte, MI 48192-2314 | 2020-01-10 |
| 1396390381 | Sheba Pharmacy 3 LLC | Pharmacy | 2201 Ford Ave, Wyandotte, MI 48192-2314 | 2019-08-06 |
| 1881920619 | Bliss Oral & Facial Surgery | Dentist | 2201 Ford Ave, Wyandotte, MI 48192-2314 | 2009-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1912483819 | Fast Care Pharmacy LLC | Pharmacy | 1209 Fort St, Wyandotte, MI 48192 | 2018-07-13 |
| 1518464106 | Tyson Reed Mckechnie | Emergency Medicine | Henry Ford Wyandotte Hospital, Medical Education Dept., 2333 Biddle Ave., Wyandotte, MI 48192 | 2018-04-10 |
| 1275038572 | Joanna Fourtounis | Emergency Medicine | Henry Ford Wyandotte Medical Education Office, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-28 |
| 1841794120 | Henry Tan | Student in an Organized Health Care Education/Training Program | Henry Ford Wyandotte Hospital, Medical Education Depart, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-21 |
| 1174042857 | Ashley Marie Kobylasz | Social Worker | 1506 16th Street, Wyandotte, MI 48192 | 2017-09-14 |
| 1831630631 | Vanessa Majeski | Surgery | 8333 Biddle Ave, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-13 |
| 1346796984 | Jordan Yagiela | Community/Behavioral Health | 1940 Ludington Street, Wyandotte, MI 48192 | 2016-09-01 |
| 1649642505 | Superior Visions Inc | In Home Supportive Care | 2709 Fort Street, Wyandotte, MI 48192 | 2015-10-30 |
| Find all providers in zip 48192 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124185517 | Wyandotte Nation | Family Medicine | 1 Turtle Drive, Wyandotte, OK 74370 | 2007-01-03 |
| 1700817558 | Billy Ralph Nordyke Jr. | Family Medicine | 2201 Ford Ave, Wyandotte, MI 48192-2314 | 2006-07-06 |
| 1003874082 | Sami M Baraka | Family Medicine | 1622 Eureka Rd, Wyandotte, MI 48192-6104 | 2006-05-01 |
| 1740259191 | Parmod Jindal | Family Medicine | 2114 Eureka Rd, Wyandotte, MI 48192 | 2006-03-17 |
| 1285614776 | Sita Medical Clinic | Family Medicine | 995 Ford Ave, Wyandotte, MI 48192-3861 | 2006-01-19 |
| 1861490799 | Dennis R Lemanski | Family Medicine | 2070 Biddle Ave Ste 2, Wyandotte, MI 48192-4080 | 2005-07-13 |
| 1619408051 | Danielle Hunt Ortega | Family Medicine | 2333 Biddle Avenue, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-27 |
| 1154701357 | Charles Xin | Family Medicine | 1700 Biddle Ave, Wyandotte, MI 48192-7205 | 2015-06-02 |
| 1265846042 | Michael David Collins | Family Medicine | 1700 Biddle Ave, Wyandotte, MI 48192-7205 | 2014-06-19 |
| 1255677266 | Ganka Spassova Md Pllc | Family Medicine | 1307 Ford Ave, Wyandotte, MI 48192-3823 | 2012-12-19 |
| Find all providers in WYANDOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.